Evidence map›Paper›PMID 34375397›Full record

ArticleThe American journal of clinical nutrition2021

Associations of changes in reported and estimated protein and energy intake with changes in insulin resistance, glycated hemoglobin, and BMI during the PREVIEW lifestyle intervention study.

Mathijs Drummen, Tanja C Adam, Ian A Macdonald, Elli Jalo, Thomas M Larssen, J Alfredo Martinez, Teodora Handjiev-Darlenska, Jennie Brand-Miller, Sally D Poppitt, Gareth Stratton and 16 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01777893 (PREVention of Diabetes Through Lifestyle Intervention and Population Studies in Europe and Around the World), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01777893 nacompletednot on this map

PREVention of Diabetes Through Lifestyle Intervention and Population Studies in Europe and Around the World

TypeinterventionalSponsorAnne Birgitte RabenRan2013 to 2018Enrolled2,500ConditionsPre-diabetes, ObesityArmsHigh protein/ high intensity physical activity (HP-HI), High protein / moderate intensity physical activity (HP-MI), Moderate protein/ high intensity physical activity (MP-HI), Moderate protein/ moderate intensity physical activity (MP-MI)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Can we measure food intake in humans?International journal of obesity (2005) · 2023
    Article
  6. Article
  7. Article
  8. Editorial: FIN Special Issue on PREVIEW.Frontiers in nutrition · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 16 institutions in 12 countries.

Mathijs DrummenDepartment of Nutrition and Movement Sciences, NUTRIM-School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, Netherlands.ORCID 0000-0003-3896-043X
Tanja C AdamDepartment of Nutrition and Movement Sciences, NUTRIM-School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, Netherlands.
Ian A MacdonaldMRC/Arthritis Research UK (ARUK) Centre for Musculoskeletal Ageing Research, ARUK Centre for Sport, Exercise, and Osteoarthritis, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Division of Physiology, Pharmacology, and Neuroscience, School of Life Sciences, Queen's Medical Centre, University of Nottingham, Nottingham, United Kingdom.
Elli JaloDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.
Thomas M LarssenDepartment of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.
J Alfredo MartinezDepartment of Physiology and Nutrition, University of Navarra, Pamplona, Spain.
Teodora Handjiev-DarlenskaDepartment of Pharmacology and Toxicology, Medical University of Sofia, Sofia, Bulgaria.
Jennie Brand-MillerSchool of Life and Environmental Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-6797-8754
Sally D PoppittHuman Nutrition Unit, School of Biological Sciences, Department of Medicine, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-2214-8378
Gareth StrattonApplied Sports Technology, Exercise, and Medicine (A-STEM), College of Engineering Research Centre, Swansea University, Swansea, United Kingdom.
Kirsi H PietiläinenObesity Research Unit, Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Moira A TaylorMRC/Arthritis Research UK (ARUK) Centre for Musculoskeletal Ageing Research, ARUK Centre for Sport, Exercise, and Osteoarthritis, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Division of Physiology, Pharmacology, and Neuroscience, School of Life Sciences, Queen's Medical Centre, University of Nottingham, Nottingham, United Kingdom.
Santiago Navas-CarreteroBiomedical Research Networking Center for Physiopathology of Obesity and Nutrition (CIBEROBN), Madrid, Spain.
Svetoslav HandjievDepartment of Pharmacology and Toxicology, Medical University of Sofia, Sofia, Bulgaria.
Roslyn MuirheadSchool of Life and Environmental Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Marta P SilvestreHuman Nutrition Unit, School of Biological Sciences, Department of Medicine, University of Auckland, Auckland, New Zealand.
Nils SwindellApplied Sports Technology, Exercise, and Medicine (A-STEM), College of Engineering Research Centre, Swansea University, Swansea, United Kingdom.
Maija Huttunen-LenzExercise and Health Sciences, University of Stuttgart, Stuttgart, Germany.
Wolfgang SchlichtExercise and Health Sciences, University of Stuttgart, Stuttgart, Germany.
Tony LamNetUnion sarl, Lausanne, Switzerland.
Jouko SundvallBiochemistry Laboratory, Forensic Toxicology Unit, Department of Government Services, National Institute for Health and Welfare, Helsinki, Finland.
Laura RamanBiochemistry Laboratory, Forensic Toxicology Unit, Department of Government Services, National Institute for Health and Welfare, Helsinki, Finland.
Edith FeskensDivision of Human Nutrition and Health, Wageningen University & Research, Wageningen, Netherlands.
Angelo TremblayDepartment of Kinesiology, Laval University, Quebec City, Quebec, Canada.
Anne RabenDepartment of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.ORCID 0000-0001-5229-4491
Margriet S Westerterp-PlantengaDepartment of Nutrition and Movement Sciences, NUTRIM-School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, Netherlands.ORCID 0000-0002-6326-3102
Maastricht University · NLFinnish Institute for Health and Welfare · FIMedical University of Sofia · BGSwansea University · GBThe University of Sydney · AUUniversity of Copenhagen · DKUniversity of Helsinki · FIUniversity of Nottingham · GBUniversity of Stuttgart · DEMadrid Institute for Advanced Studies · ESNetUnion (Switzerland) · CHSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ESUniversité Laval · CAUniversity of Auckland · NZUniversity of Lisbon · PTWageningen University & Research · NL

Funding

Biotechnology and Biological Sciences Research CouncilDepartment of Health
6 · The paper itself

Abstract

backgroundObserved associations of high-protein diets with changes in insulin resistance are inconclusive.

objectivesWe aimed to assess associations of changes in both reported and estimated protein (PRep; PEst) and energy intake (EIRep; EIEst) with changes in HOMA-IR, glycated hemoglobin (HbA1c), and BMI (in kg/m2), in 1822 decreasing to 833 adults (week 156) with overweight and prediabetes, during the 3-y PREVIEW (PREVention of diabetes through lifestyle intervention and population studies In Europe and around the World) study on weight-loss maintenance. Eating behavior and measurement errors (MEs) of dietary intake were assessed. Thus, observational post hoc analyses were applied.

methodsAssociations of changes in EIEst, EIRep, PEst, and PRep with changes in HOMA-IR, HbA1c, and BMI were determined by linear mixed-model analysis in 2 arms [high-protein-low-glycemic-index (GI) diet and moderate-protein-moderate-GI diet] of the PREVIEW study. EIEst was derived from energy requirement: total energy expenditure = basal metabolic rate × physical activity level; PEst from urinary nitrogen, and urea. MEs were calculated as [(EIEst - EIRep)/EIEst] × 100% and [(PRep - PEst)/PEst] × 100%. Eating behavior was determined using the Three Factor Eating Questionnaire, examining cognitive dietary restraint, disinhibition, and hunger.

resultsIncreases in PEst and PRep and decreases in EIEst and EIRep were associated with decreases in BMI, but not independently with decreases in HOMA-IR. Increases in PEst and PRep were associated with decreases in HbA1c. PRep and EIRep showed larger changes and stronger associations than PEst and EIEst. Mean ± SD MEs of EIRep and PRep were 38% ± 9% and 14% ± 4%, respectively; ME changes in EIRep and En% PRep were positively associated with changes in BMI and cognitive dietary restraint and inversely with disinhibition and hunger.

conclusionsDuring weight-loss maintenance in adults with prediabetes, increase in protein intake and decrease in energy intake were not associated with decrease in HOMA-IR beyond associations with decrease in BMI. Increases in PEst and PRep were associated with decrease in HbA1c.This trial was registered at clinicaltrials.gov as NCT01777893.

Indexed as

Body Mass IndexEnergy IntakeInsulin ResistanceAdultAgedDietary ProteinsFemaleGlycated HemoglobinHumansLife StyleMaleMiddle AgedDietary ProteinsGlycated Hemoglobinhemoglobin A1c protein, humanbasal metabolic ratemeasurement error of dietary intake reportingobesityphysical activity levelprediabetesurinary nitrogen as biomarker

Identifiers

PMID34375397
PMCPMC8574694
OpenAlexW3189087742

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.